The collapse of America as I see it.”
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I think you're right!
There will come a point where the Producers tell the Takers to go F off! Many Producers will see the benefits in becoming Takers. These idiots haven't even begun to consider the unintended consequences.
Oh, and chaos is only good if the Dictator can control it. If you doubt me, ask Nicolae Ceausescu.
I think this will create a massive black market for medical services. Families will have no choice but to pay the “penalty/tax” and seek care on a cash basis from those who will be more than willing to provide it.